| NPI | 1518968940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: VA 0101234474) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101234474) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2023-11-13 |